In severe cases of parent alienation, the child is utterly brain- washed against the alienated parent. The alienator can truthfully say that the child doesn't want to spend any time with this parent, even though he or she has told him that he has to, it is a court order, etc. The alienator typically responds, "There isn't anything that I can do about it. I'm not telling him that he can't see you."
 

PAS is an escalation of Parental Alienation (PA)
      Dr. Douglas Darnall in his book Divorce Casualties: Protecting Your Children from Parental Alienation, describes three categories of PA:

The mild category he calls the naïve alienators. They are ignorant of what they are doing and are willing to be educated and change. 

The moderate category is the active alienators. When they are triggered, they lose control of appropriate boundaries. They go ballistic. When they calm down, they don't want to admit that they were out of control. 

In the severe category are the obsessed alienators or those who are involved in PAS. They operate from a delusional system where every cell of their body is committed to destroying the other parent's relationship with the child. 

In the latter case, he notes that we don't have an effective protocol for treating an obsessed alienator other than removing the child from their influence.

An important point is that in PAS there is no true parental abuse and/or neglect on the part of the alienated parent. If this were the case, the child's animosity would be justified. Also, it is not PAS if the child still has a positive relationship with the parent, even though one parent is attempting to alienate the child from him or her.

Which gender is most likely to initiate PAS?
      Gardner's statistics showed that the majority of PAS occurrences were initiated by mothers. Mothers have traditionally had primary custody of children (although before the 20th century it normally belonged to the father), and the mothers usually spend more time with the children. 

      In order for a campaign of alienation to occur, one parent needs to have considerable time with the child. However, in recent years increasing numbers of fathers have started instigating PAS, since there are few legal sanctions for doing so.

I've seen several dramatic cases where the father was the alienator. 

     In one case, the father had no control over his obsession to trash the mother. 

      Numerous professionals told him, including the mother, that he could have shared custody if he would be willing to follow the rules. He didn't have the self-control to do this. 

     When he lost custody because of his aberrant behavior, he became a celebrity in the father's rights movement and took his campaign into national circles. No one would know from hearing him speak about his situation that there was serious pathology going on (PAS) or how hard the professionals worked to stabilize it.

     Moreover, in cultures where women traditionally have no tangible rights, alienation by the father can be severe. 

     I've met divorcing women who had been prevented from learning how to make a living to support themselves. At the time of separation all access to financial resources were stopped and the children removed from her care. These women reported severe alienation of affection. 

     It makes one grateful to have laws that protect human rights and enforce a better way of resolving conflict than a winner-take all approach.

How common is PA and PAS?
      When parents first separate there is often parent alienation. For example, due to the anxiety of the mother, she is likely to say indirectly to a child that he or she is not safe with the father.

       She might say:

"Call me as soon as you get there to let me know you are okay."
"If you get scared, you call me right away. Okay?" 
"I'll come get you if you want to come home." 

      Usually this level of alienation dies down after the separating parents get used to changes brought on by the separation and move on with their lives. 

However, in rare cases, the anxiety not only doesn't calm down, it escalates. PAS parents are psychologically fragile. When things are going their way, they can hold themselves together. When they are threatened however, they can become fiercely entrenched in preserving what they see is rightfully theirs. 

Fortunately only a small percentage end up in this level of conflict.

Why do PAS parents act like they do?
      I believe that PAS parents have become stuck in the first stage of child development, where survival skills are learned. 

To them, having total control over their child is a life and death matter. Because they don't understand how to please other people, any effort to do so always has strings attached. They don't give; they only know how to take. They don't play by the rules and are not likely to obey a court order.

      Descriptions that are commonly used to describe severe cases of PAS are that the alienating parent is unable to "individuate" (a psychological term used when the person is unable to see the child as a separate human being from him or herself). They are often described as being "overly involved with the child" or "enmeshed".

      The parent may be diagnosed as narcissistic (self-centered), where they presume that they have a special entitlement to whatever they want. They think that there are rules in life, but only for other people, not for them.

     Also, they may be called a sociopath, which means a person who has no moral conscience. These are people who are unable to have empathy or compassion for others. They are unable to see a situation from another person's point of view, especially their child's point of view. They don't distinguish between telling the truth and lying in the way that others do.

      In spite of admonitions from judges and mental health professionals to stop their alienation, they can't. The prognosis for severely alienating parents is very poor. It is unlikely that they are able to "get it." It is also unlikely that they will ever stop trying to perpetuate the alienation. This is a gut wrenching survival issue to them.

How does the child get involved in PAS?       
The targeted parent needs to understand what has happened to what as once an affectionate and loving child who is now unexplainably hostile. Remember Gardner’s definition stated earlier, "the disorder wasn’t only brainwashing or programming by a parent, but was confounded by what he calls self-created contributions by the child in support of the alienating parent’s campaign of denigration against the targeted parent."  It isn’t PAS in the severe form of this disorder, unless the child has crossed over and joined up with the alienating parent. The child shares the alienating parent’s psychosis. How does this happen?

     At birth, children are totally reliant on a parent, usually the mother, for having all of their needs met. It is part of normal child development to be enmeshed with their primary caregiver, and very young children do not have a separate identity from this caregiver. 

     One of the mother's roles is to help the child develop as a separate person, therefore, infancy and childhood become a series of tasks of learning how to become independent. For example, learning to putting oneself back to sleep, eating, toilet training and caring for one's hygiene. 

Instead of promoting this independence, the alienating parent encourages continued dependence. The parent may insist on sleeping with the child, feeding the child ("It's easier if I do it"), and taking care of these rites of passage longer than normal child development calls for. This "spoiling" may not feel right to the child, but they do not have enough ego strength to do anything about it.

      A PAS mother can't imagine that the father is capable of planning the child's time while in his care. Therefore, she arranges several things for the child to do while at the father's house. One of the most common ways of doing this is to sign the child up for on-going lessons without permission from the father. 

    The parent may even decree whom the child can and cannot see, particularly specific members of the child's extended family on the father's side. The mother desperately wants control over the time when the child isn't with her. 

    One of the most unusual situations that I ran into was the father who picked up his sons at 9:00 a.m. on a Saturday for the weekend. He discovered that his very excited boys had their hearts set on going to Disneyland for the day, when this idea had never crossed his mind.

      One theory about why a mother will act this way is that when a father takes his share of joint custody, it is like asking her to give away part of her body. One mother said, "He is going to remove my right arm and take it for the weekend." It feels like the mother has lost a profound part of who she is as a person. She feels fractured, pulled apart.

Why is PAS a double bind for the child?
      When children spend time with the father, and enjoy it, they are put into a double bind. Clearly, they cannot tell the mother that dad treats them well or that they had fun together. They want to bond with the father, but don't dare. They figure out on which side the bread is buttered (who has the power), and their survival needs tug at them. Therefore, children will tell the mother about everything they didn't enjoy about time spent with the father, which will add to her belief that they don't like to be with him. These children feel that they must protect the mother. The same is true when the alienator is the father. The child will avoid expressing their affectionate feelings for the mother to him.

Family volitility
       These are volatile families. The father may have indeed spanked a child, or lashed out at the mother physically or emotionally. An isolated incidence can turn into a holocaust. One father spanked his rebellious child and ended up in jail on child abuse charges, followed by a six week trial to determine his guilt. The jury returned with a not guilty verdict in 20 minutes. The verdict didn't end it as far as the mother was concerned, however.

     The alienating parent's hatred can have no bounds. The severest form will bring out every horrible allegation known, including claims of domestic violence, stalking and the sexual molestation of the child. Many fathers say that there have been repeated calls to the Department of Family and Child Services alleging child abuse and neglect. 

     In most cases the investigators report that they found nothing wrong. However, the indoctrinating parent feels that these reports are not fabrications, but very, very real. She can describe the horror of what happen in great detail. Regardless of the actual truth, in her mind, it did happen. 

     Most of the alienated fathers that I work with are continually befuddled by her lying. "How can she lie like that?" They don't realize that these lies are not based on rational thinking. They are incapable of understanding the difference between what is true and what they want to be true. A vital part of fighting PAS is to understand the severity of the psychological disturbance that is the source of it.

Intergenerational patterns
      What makes this problem very complicated is that PAS is often intergenerational in dysfunctional families. Almost always the alienator has people within the family who support the alienation. It might be the mother, father or grandparent who encourage fighting. They are likely to support the parent financially or even provide massive amounts of money to fund litigation. This is further proof to the PAS parent that he or she is justified in what he/she does.

When a child is placed in the role of the parent's therapist
      Alienation advances even further when the alienating parent uses the child as a personal therapist. The child is told about every miserable experience and negative feeling about the alienated parent with great specificity. The child, who is already enmeshed with the parent because his or her own identity is still undefined, easily absorbs the parent's negativity. They become aligned with this parent and feel that they need to be the protector of the alienating parent.

What happens to the child when you can't stop PAS?

      Obviously, without anyone to stop the alienation from progressing, the child will become estranged from the alienated parent. The relationship with this parent will eventually be severed. It is doubtful that, without psychological intervention as the child grows, he or she will ever understand what happened.

      The child's primary role model will be the maladaptive, dysfunctional parent. He or she will not have the benefit of growing up with the most well-adjusted parent and all that this parent can contribute to enrich the child's life. Many of these children come to experience serious psychiatric problems.

    Will they ever grow up and realize what happened to them? Without someone who can recognize the syndrome and counsel them about it, it isn't likely that they will ever figure it out. However, there have been exceptions where the child and the alienated parent have been successfully reunified later in life.

How can good intentions backfire?
      Those people who are typically called upon to handle such difficult situations, such as the police, social workers, attorneys or psychologists assume that what the frightened mother is saying is true. These things DO happen. There are men who are seriously disturbed, violent, out of control sexually, and stalk, who are rightfully feared. The mother is very convincing in her desperation and vivid in her descriptions. The clincher is that the alienated child collaborates with the mother by saying, "Yes, I am afraid of my father." "Yes, my father did touch me down there." "Yes, he does beat me." What would you do if you were faced with having to decide how to protect a child in such a situation?

Therapists
      Some therapists don't realize the severity and depth of the problem. In fact, they may unwittingly side with the alienating parent and even testify in court that the child is afraid of the alienated parent. This can be a serious stumbling block in getting an accurate diagnosis. Indeed, it can tip the scale into the alienating parent's agenda and do real damage.

    Our courts, social services and mental health workers are all committed to stop child abuse and neglect when they see it occurring. Unfortunately, in PAS situations a dramatic and loud complaint from the alienating parent often ends up being acted upon without an investigation as to the accuracy of the allegation. This frequently removes the alienated parent from the children and allows the alienating parent considerable additional time to proceed with the alienation. 

    By the time all of the evaluations are in place and the case is heard by the court, considerable damage has been done to the child. It is an irony that the very people we turn to for help in such a difficult situation can often be those who most contribute to allowing the on-going abuse and neglect of the child to continue.

What can be done about the problem?

    First, it takes a sophisticated mental health professional to be able to identify that PAS is occurring. Most forensic evaluators such as psychiatrists and clinical psychologists have studied the disorder and are able to recognize it.

    Forensic evaluators diagnose PAS by having the parents take a battery of psychological tests, doing a detailed case history and by observation. They make recommendations as to what to do. After the evaluator has written a report on the family and made recommendations, nothing will happen to resolve the crisis without court intervention.

   The alienated parent has to take the report to a judge who must then be convinced that the child is being alienated and that it is not in their best interest to stay in such an environment. 

   It is rare however that judges have any degree of mental health training. They most often learn about PAS from the bench. It usually takes several trips to court to point out how badly a child is being treated before a judge is willing to act.

How are PAS cases resolved legally?
     Judges are inevitably conservative in their orders. Even when the evidence is overwhelming that the alienation is occurring, the court order may still end up saying, "the parents are to make joint decisions about the child's welfare," when this is impossible to do. 

    This is further evidence that the judge doesn't understand the magnitude of the problem. The judge in one of the most severe PAS cases I worked on was from the old school. He was tired of having the litigants continue to appear before him. One day he said, "Why don't the two of you go out in the hallway and kiss and make up." This is an example of how frustrating these cases are for judges. Indeed, these are the hardest cases to decide.

      Judges have been slow to place serious sanctions on the alienating parent. If there is no threat of severe fines, jail time or sole custody to the targeted parent, the chances are remote that the out-of-control parent can be stopped.

      It usually takes a dramatic situation where court orders are broken to force the court to change primary custody. Often it is only a matter of time before alienating parents become desperate and their unstable mental health gets the better of them. People in an official position start to recognize the alienating parent as being out of line, and become supportive of the targeted parent.

    In one case, the 9 and 4 year old daughters were abducted and presumed to be on their way to Australia through an underground group that hides women who are victims of domestic violence, often of a sexual nature and where the father is stalking. The girls were missing for 3 months and found in another county where they were waiting for final arrangements to be made before their departure. When the police broke into the house at 3:00 a.m., they found the girls sleeping with their mother. They had been given boy's names, clothes, haircuts and their hair was dyed. They were not allowed contact with anyone outside of their hiding place, not even to go to school. The oldest child had strep throat and the youngest was seriously withdrawn.

      In another case, the mother could no longer convince the social workers, the police or the Court about her allegations. She was known to be unstable because she had "cried wolf" too many times. She abducted her daughter to Utah. She told officials there that the courts where she lived were protecting a proven child molester. The press was called. After she was interviewed; there was a virtual feeding frenzy as the father's photograph and the story was on all the local news networks. 

A big part of the problem was that the seven year old girl, said "Yes" when asked if her father had molested her. Even though this had already been disproved by forensic evaluators, she was still confused.

Can the alienation of children be reversed?     
As children get older, the alienation can be reversed with proper psychological care. However, it won't work if the alienating parent is not contained. In the last case described above, the mother had severely limited visiting rights. She had remarried and had a new child, however, she still regularly calls the police to report the father for abuse. Presently, the daughter resides with her father, receives weekly therapy and hates the police. She gradually understands how disturbed her mother is.

    In the former case, where the mother was kidnapping the children, she now sees them two hours a month at the Department of Children's Services with a social worker present to monitor everything that she says and does. The girls have also been in extensive therapy and are doing well.

    Since this is among the most severe kinds of abuse of a child's emotions, there will be scars and lost opportunities for normal development. The child is at risk of growing up and being an alienator also, since the alienating parent has been the primary role model.
 

What is the best way to deal with PAS?      
The parents I know who were successful in getting primary custody of their children in a PAS situation shared the following characteristics:

• They completed a comprehensive parenting course such as Breakthrough Parenting, and stuck with it until they rated excellent in the knowledge, skills and methods taught. Their parenting skills became superior.
  

• They were even-tempered, logical and kept their emotions under control. They never retaliated. A person who reacts in anger is proving the alienator's point that he or she is unstable.
  

• They certainly thought of giving up but never did. No matter how awful the harassment got, they worried about leaving their daughter or son in that environment. They were driven to continue trying to get the court to understand the seriousness of the issues and to change primary custody to them.

• They were willing and able to go to the financial expense of seeing it through.

• They got help from a skilled family lawyer who had experience with parent alienation syndrome.
   

• They became good at understanding how the courts work and the law as it applied to their case. In many cases, because of excessive expenses, parents even ended up as pro per (called pro se in some states) where they were representing themselves without a lawyer.
   

• They had a case where a forensic evaluator made a strong statement about the alienation and recommend changing legal and primary custody to the alienated parent. Some parents had to go back to the evaluator to demonstrate that his or her earlier recommendations were not working.
   

• They persevered in demonstrating that they were rational, reasonable, and had the best interest of the child at heart.
   

• They provided the court with an appropriate parenting plan that showed how the child would be well taken care of in their care.
   

• They understood the nature of the problem and focused on what to do about it, even though they and their children were being victimized. (Alienated parents who got caught up in "how terrible it all is" and spent time judging the situation, went under emotionally.)
   

• They didn't live a victim's life.
   

• They were proactive in seeking constructive action.
   

• They avoided adding to the problem. One father expressed it like this: "I don't know how to make it better with the mother, but I do know how to make it worse." He was one of the most successful parents I met in fighting the PAS problem because he stayed in the role of the peacekeeper.
   

• They kept a diary or journal of key events, describing what happened and when.
   

• They documented the alienation with evidence that was admissible in court.
   

• They always called or showed up to pick up their children, even if they knew that the children won't be there. This was often very painful, but then they could document that they tried, when the alienator alleged that this parent had no interest in the child.
   

• They focused on enjoying their children's company and never talked to their children about their case. They always took the high road and never talked badly about the other parent to their children. They absolutely never showed a child any court orders or other sensitive documents. They didn't let the children overhear inappropriate conversations on the telephone.
   

• They didn't violate court orders. They paid their child support on time and proved that they could live within the letter of the law.
   

• They were truly decent, principled people. It was obvious that they loved their children.